go back

Delaware rates for HCPCS 15769

Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.57 / $1,075.75 / $10,158.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.58 / $418.58 / $431.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.34 / $539.16 / $766.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.16 / $507.17 / $1,115.77